Next Pandemic? Yes, Please! How Covid-19 Pandemic Improved the Financial Condition of Polish Hospitals

• Authors: Agnieszka Bem , Paweł Prędkiewicz , Rafał Siedlecki , Paulina Ucieklak-Jeż , Jan Žukovskis

Abstracts

EN

The purpose of the article. The study aims to analyze how these special rules of financing during the pandemic affected the financial situation of hospitals in Poland. Methodology. We analyzed a sample of 86 Polish hospitals from 2019 to 2021. The financial condition is assessed based on financial ratios and the synthetic measure M1. We employ the Kruskall-Wallis test to confirm the differences between the values of financial ratios in the analyzed period. Results of the research. We confirm that due to the special rules and financing, combined with underperformance, the financial condition of Polish hospitals has slightly improved – especially in the case of operating margin, EAT to debt ratio and ROA.

Keywords

EN

hospital financial condition; pandemic; operating margin; ROA

• Publisher: Uniwersytet Łódzki. Wydawnictwo Uniwersytetu Łódzkiego
• Journal: Finanse i Prawo Finansowe
• Year: 2023
• Issue: 1 (Numer Specjalny)
• Pages: 71-88

Dates

published

2023

Contributors

author

Agnieszka Bem

• Wrocław University of Economics, Faculty of Economics and Finance

• https://orcid.org/0000000316536558

author

Paweł Prędkiewicz

• Wrocław University of Economics, Faculty of Economics and Finance

• https://orcid.org/000000028965665X

author

Rafał Siedlecki

• Wrocław University of Economics, Faculty of Economics and Finance

• https://orcid.org/0000000174444737

author

Paulina Ucieklak-Jeż

• Jan Dlugosz University in Czestochowa, Faculty of Law and Economics

author

Jan Žukovskis

• Vytautas Magnus University

References

• Bai G., Jiménez D., Phan P., Quintero LE, Rebucci A., Sunal X., (no date), The Financial Fragility of For-profit Hospitals: Evidence from the COVID-19 Pandemic, National Bureau of Economic Research.
• Behzadifar M., Aalipour A., Kehsvari M., Darvishi Teli B., Ghanbari M. K., Gorji H. A., Bragazzi N. L. (2022), The effect of COVID-19 on public hospital revenues in Iran: An interrupted time-series analysis, PLoS ONE, https://doi.org/10.1371/journal.pone.0266343
• Bem A., Prędkiewicz K., Prędkiewicz P., Ucieklak-Jeż P.(2014a), Hospital’s Size as the Determinant of Financial Liquidity, in: European Financial Systems 2014. Proceedings of the 11th International Scientific Conference, pp. 41–48.
• Bem A., Predkiewicz K., Predkiewicz P., Ucieklak-Jez, P. (2014b), Determinants of Hospital’s Financial Liquidity, 17th International Conference Enterprise and Competitive Environment 2014 (preprint), https://doi.org/10.1016/S2212-5671(14)00317-7
• Bem A., Predkiewicz K., Predkiewicz P., Ucieklak-Jez P. (2014c), Hospital’s Size as the Determinant of Financial Liquidity, In Proceedings of the 11th international scientific conference European financial systems, pp. 41-48
• Bem A., Prędkiewicz P., Ucieklak-Jeż P., Siedlecki R.(2015a), Impact of Hospital’s Profitability on Structure of its Liabilities, Strategica 2015 proceedings, pp. 657-665
• Bem A., Predkiewicz P., Ucieklak-Jez P., Siedlecki R. (2015b), Profitability versus Debt in Hospital Industry, European Financial Systems 2015: Proceedings of the 12th international scientific conference, pp. 20-27.
• Bem A., Siedlecki R., Prędkiewicz P., Ucieklak-Jeż P., Hajdikova T. (2015c), Hospital’s financial health assessment. Gradient method’s application. In Enterprise and competitive environment. Conference proceedings, pp. 76-85
• Bem A., Siedlecki R., Ucieklak-Jeż P., Hajdikova T. (2017), Model of Hospitals’ Financial Distress Forecasting: Comparative Study, in: New Trends in Finance and Accounting, pp. 709–721, https://doi.org/10.1007/978-3-319-49559-0
• Bem A., Siedlecki R., Prędkiewicz P., Gazzola P., Ryszawska B., Ucieklak-Jeż P. (2019). Hospitals’ financial health in rural and urban areas in Poland: Does it ensure sustainability? Sustainability, 11(7), https://doi.org/10.3390/su11071932
• Cantor J., Sood N., Bravata D. M., Pera M., Whaley C. (2022), The impact of the COVID-19 pandemic and policy response on health care utilization: Evidence from county-level medical claims and cellphone data, Journal of Health Economics, 82, 102581 https://doi.org/10.1016/j.jhealeco.2022.102581
• Carroll N.W., Smith D.G. (2020), Financial Implications of the COVID-19 Epidemic for Hospitals: A Case Study, Journal of Health Care Finance, 46(4), pp. 11-22
• Chmielowiec B., Raczek M., Chmielewski J., Puścion M., Florek-Łuszczki, M. (2022), Accessibility to healthcare services in Poland at the initial stage of SARS-CoV-2 pandemic – patient perspective, Medycyna Ogólna i Nauki o Zdrowiu, 28(3), pp. 208–216, https://doi.org/10.26444/monz/154663
• Coughlin T.A., Ramos C., Samuel-Jakubos H. (2020), Safety Net Hospitals in the Covid-19 Crisis: How Five Hospitals Have Fared Financially Data and Methods, Washington, DC: Urban Institute, 13
• Dopfer C., Wetzke M., Zychlinsky Scharff A., Mueller F., Dressler F., Baumann U., Happle C.(2020), COVID-19 related reduction in pediatric emergency healthcare utilization - A concerning trend, BMC Pediatrics, 20(1), https://doi.org/10.1186/s12887-020-02303-6
• Fried J.E., Liebers D.T., Roberts, E.T. (2020), Sustaining Rural Hospitals after COVID-19: The Case for Global Budgets, JAMA - Journal of the American Medical Association, pp. 137–138, https://doi.org/10.1001/jama.2020.9744
• Grudziaż-Sękowska J., Sękowski K., Kobuszewski B. (2022), Healthcare Utilization and Adherence to Treatment Recommendations among Children with Type 1 Diabetes in Poland during the COVID-19 Pandemic, International Journal of Environmental Research and Public Health, 19(8), https://doi.org/10.3390/ijerph19084798
• GUS (2022), Wydatki na ochronę zdrowia w latach 2019-2021.
• György A., Simionescu I. (2021), The Impact of COVID-19 on the Romanian Hospitals’ Expenses. A Case study Toward the Financial Resilience After the Pandemic, Transylvanian Review of Administrative Sciences, pp. 22–36, https://doi.org/10.24193/tras.SI2021.2
• He M., Jessri M., Zhang H. (2022), The impact of COVID-19 on hospitals’ financial performance: Evidence from California hospitals, International Journal of Healthcare Management (Preprint), https://doi.org/10.1080/20479700.2022.2118168
• Hu X., Jin W., Yang A., Hu Z. (2022), Management of capital liquidity in public hospitals under the epidemic situation of COVID-19, Frontiers of Public Health, 10(977221), pp. 1–5.
• Khullar D., Bond A.M., Schpero W.L. (2020), COVID-19 and the Financial Health of US Hospitals, JAMA - Journal of the American Medical Association, 323(21), pp. 2127–2128, https://doi.org/10.1001/jama.2020.6269
• Kim Y., Gordon A., Rowerdink K., Scott L. H., Chi,W. (2022), The Impact of the COVID-19 Pandemic on Health Care Utilization Among Insured Individuals With Common Chronic Conditions BRIEF REPORT, Medical Care, 60(9).
• Küçük A. (2022), Financial Impacts of Covid-19 Pandemic for Turkish Public Hospitals, Süleyman Demirel Üniversitesi Vizyoner Dergisi, 13(34), pp. 354–363, https://doi.org/10.21076/vizyoner.993956
• Lalani K., Helton J., Vega F. R., Cardenas-Turanzas M., Champagne-Langabeer T., Langabeer J. R. (2023). The Impact of COVID-19 on the Financial Performan-ce of Largest Teaching Hospitals. Healthcare (Switzerland), 11(14). https://doi.org/10.3390/healthcare11141996
• Lee M., You M. (2021), Avoidance of healthcare utilization in south korea during the coronavirus disease 2019 (Covid-19) pandemic, International Journal of Environmental Research and Public Health, 18(8), https://doi.org/10.3390/ijerph18084363
• Li K., Al-Amin M., Rosko M.D. (2023), Early Financial Impact of the COVID-19 Pandemic on U.S. Hospitals, Journal of Healthcare Management/American College of Healthcare Executives, NLM (Medline), pp. 268–283, https://doi.org/10.1097/JHM-D-22-00175
• Melnick G., Maerki S. (2021), The Financial Impact of COVID-19 on California Hospitals, California Health Care Foundation, Retrieved January, 12, 2021
• Mikos M., Urbaniak M. (2017), Dostępność świadczeń zdrowotnych finansowanych ze środków publicznych w Polsce a funkcjonowanie sieci szpitali, Zdrowie Publiczne i Zarządzanie, pp. 197–206.
• Miszczyńska K., Miszczyński P. (2021), Debt, ownership, and size: The case of hospitals in Poland, International Journal of Environmental Research and Public Health, 18(9). https://doi.org/10.3390/ijerph18094596
• Mularczyk-Tomczewska P., Zarnowski A., Gujski M., Jankowski M., Bojar I., Wdowiak A., Krakowiak J.(2022), Barriers to accessing health services during the COVID-19 pandemic in Poland: A nationwide cross-sectional survey among 109,928 adults in Poland, Frontiers in Public Health, pp. 1–11.
• Narodowy Fundusz Zdrowia (2021) sprawozdanie z działalności Narodowego Funduszu Zdrowia za 2020 rok.
• Narodowy Fundusz Zdrowia (2022), Sprawozdanie z działalności Narodowego Funduszu Zdrowia za 2021 rok.
• Naruć, W. (2022). The impact of the COVID-19 pandemic on the financial and asset situation of Polish infectious diseases hospitals. WSEAS Transactions on Business and Economics, 19, pp. 542-554.
• Niżnik, J. (2021), Wpływ Covid-19 na systemy ochrony zdrowia w Czechach i Polsce, Horyzonty Polityki, 12(40), pp. 133–155, https://doi.org/10.35765/HP.2132
• Pietryka E. (2018), Finansowanie systemu opieki zdrowotnej w Polsce w kontekście wprowadzenia systemu sieci szpitali, Zarządzanie i Finanse Journal of Management and Finance, 16(3), pp. 229-244
• Prędkiewicz K., Prędkiewicz P. (2013), Zarządzanie kapitałem obrotowym szpitali samorządowych w Polsce, Zarządzanie i Finanse, 2(2), pp. 311–323
• Prędkiewicz K., Prędkiewicz P., Węgrzyn M. (2014), Rentowność szpitali samorządowych w Polsce, Nauki o Finansach, (20), pp. 28–43
• Quentin W., Albreht T., Bezzina A., Bryndova L., Dimova A., Gerkens S., Kowal-ska-Bobko I., Mantwill S., Or Z., Rajan S., Theodorou M., Tynkkynen L.-K., Waitzberg, R., & Winkelmann, J. (2020), Adjusting Hospital Inpatient Payment Systems for COVID-19, Eurohealth, 26(2), pp. 88–92.
• Roy C. M., Brennan Bollman E., Carson L. M., Northrop A. J., Jackson E. F., Moresky R. T. (2021), Assessing the indirect effects of COVID-19 on healthcare delivery, utilization and health outcomes: A scoping review, European Journal of Public Health, Oxford University Press, pp. 634–640, https://doi.org/10.1093/eurpub/ckab047
• Siedlecki R., Bem A., Predkiewicz P., Ucieklak-Jez P. (2015), MEASURES OF HOSPITAL’S FINANCIAL Condition - empirical Study, In Strategica. Local versus global. International academic conference, pp. 666-675.
• Synhorst D. C., Bettenhausen J. L., Hall M., Thurm C., Shah S. S., Auger K. A., Williams D. J., Morse R., Berry J. G. (2021), Healthcare Encounter and Financial Impact of COVID-19 on Children’s Hospitals, Journal of Hospital Medicine, 16(4), pp. 223–226, https://doi.org/10.12788/jhm.3572
• Trentini F., Marziano V., Guzzetta G., Tirani M., Cereda D., Poletti P., Piccarreta R., Barone A., Preziosi G., Arduini F., Della Valle P. G., Zanella A., Grosso F., Del Castillo G., Castrofino A., Grasselli G., Melegaro A., Piatti A., Andreassi A., … Merler S. (2022), Pressure on the Health-Care System and Intensive Care Utilization During the COVID-19 Outbreak in the Lombardy Region of Italy: A Retrospective Observational Study in 43,538 Hospitalized Patients, American Journal of Epidemiology, 191(1), pp. 137–146, https://doi.org/10.1093/aje/kwab252
• Waitzberg R., Gerkens S., Dimova A., Bryndová L., Vrangbæk K., Jervelund S. S., Birk H. O., Rajan S., Habicht T., Tynkkynen L. K., Keskimäki I., Or Z., Gandré C., Winkelmann J., Ricciardi W., de Belvis A. G., Poscia A., Morsella A., Slapšinskaitė A., … Quentin W. (2021), The Structure and Financing of Health Care Systems Affected How Providers Coped With COVID-19, Milbank Quarterly, 99(2), pp. 542–564, https://doi.org/10.1111/1468-0009.12530
• Waitzberg R., Quentin W., Webb E., Glied S. (2022), Balancing financial incentives during COVID-19: A comparison of provider payment adjustments across 20 countries, Health Policy, 126(5), pp. 398–407, https://doi.org/10.1016/j.healthpol.2021.09.015
• Wang Y., Bai G., Anderson G. (2022), COVID-19 and Hospital Financial Viability in the US, JAMA Health Forum, 3(5), https://doi.org/10.1001/jamahealthforum.2022.1018
• Wiśniewski T. (2023), Efficiency of Polish Hospitals in Years 2012–2021, Scientific Papers of Silesian University of Technology. Organization and Management Series, pp. 653–684, https://doi.org/10.29119/1641-3466.2023.187.35
• Xiao H., Dai X., Wagenaar B. H., Liu F., Augusto O., Guo Y., Unger J. M. (2021), The impact of the COVID-19 pandemic on health services utilization in China: Time-series analyses for 2016–2020, The Lancet Regional Health - Western Pacific, https://doi.org/10.1016/j.lanwpc.2021.100122
• Xu S., Glenn S., Sy L., Qian L., Hong V., Ryan D. S., Jacobsen S. (2021), Impact of the COVID-19 pandemic on health care utilization in a large integrated health care system: Retrospective cohort study, Journal of Medical Internet Research, 23(4), https://doi.org/10.2196/26558

Identifiers

DOI

10.18778/2391-6478.S1.2023.04

Biblioteka Nauki

36092684